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AUNT MARTHAS YOUTH SERVICE CENTER

Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.

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Contact Information

AUNT MARTHAS YOUTH SERVICE CENTER
19990 GOVERNORS HWY
OLYMPIA FIELDS, IL  60461-1021
 Phone: 708-747-7100
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

 261QF0400X B4[14] Federally Qualified Health Center
 

Case Management

 251B00000X
 

Day Training, Developmentally Disabled Services

 251C00000X
 

Nursing Care

 251J00000X
 

Public Health or Welfare

 251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for AUNT MARTHAS YOUTH SERVICE CENTER

NPI Number 1225080922
LBN Legal business name AUNT MARTHAS YOUTH SERVICE CENTER
Authorized official CHRISTOPHER NORDLOH - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2006
Last updated 12/02/2010 - About 16 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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